NPIMap

Organization Active NPI

Crossroads Medical Corp

  • Durable Medical Equipment & Medical Supplies
  • Valparaiso, IN
National Provider Identifier
1932432663
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CROSSROADS MEDICAL CORP
Practice address
3028 Calumet Ave
Valparaiso, IN 46383-2640
Phone
(219) 477-6888
Fax
(219) 477-6804
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Martine S Bergeron
Title
President
Phone
(219) 477-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3028 Calumet Ave
Valparaiso, IN 46383-2640

Mailing address

3028 Calumet Ave
Valparaiso, IN 46383-2640
Phone (219) 477-6888

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Medical Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1932432663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832640",
            "telephone_number": "219-477-6888",
            "fax_number": "219-477-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832640",
            "telephone_number": "219-477-6888",
            "fax_number": "219-477-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-477-6888"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.